Provider Demographics
NPI:1346339165
Name:MADSON, JAMES A (APHN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:MADSON
Suffix:
Gender:M
Credentials:APHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIALE DELLA MIMOSE #8
Mailing Address - Street 2:TAVERNELLE DI
Mailing Address - City:SOVIZZO
Mailing Address - State:VICENZA
Mailing Address - Zip Code:36050
Mailing Address - Country:IT
Mailing Address - Phone:389-113-0265
Mailing Address - Fax:
Practice Address - Street 1:US ARMY HEALTH CLINIC
Practice Address - Street 2:UNIT 31403, BOX 13
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09630
Practice Address - Country:IT
Practice Address - Phone:044-471-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR 0055849163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health